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HomeMy WebLinkAboutBIRCHWOOD PARK BLK C LT 2OlO-z z- 0 8 ]?HA Form No, 2215 (Revised June 1951) [] New installation. [] Existing installation. FEDERAL HOUSING ADMINISTRATION REPORT OF INSPECTION INDIVIDUAL SEWAGE-DISPOSAL SYSTEM To Be Headed in by FHA Or, ce Form Aporoved. Budget Bureau No. 65-R297~, (Serial number) (Insuring office) (Mortsa~ee) (Mortgagor or sponsor) Property address .__.L.~.t._..~.,. B__I_O. fl[~._C ,. ]~trc.h.~9_~.....P.._a_r..k. .............................................................. (Oit¥) (County) (~ate) Total number: Living units ___.~_ ......... BedroOms .._~ ........ ' Baths 'il._1- ......... -Basement: [~ Yes ,[~ No. Water supply by: [] Public system. [] Community system. ~ 'individual system on site. Part I-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If ~¢~V i~sta[Zatio~, inspect for compliance with'approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If ezistin# i~stallation, furnish as much of the i2formation as may be available. PRIMARY TREATMENT consists of ~eepfic tank. [] CesspoOl.. ,. ' SeptiCDistanceTank:from well,]',......~-~' feet. Material, _~_...~-_ ........ [ ...... i ......................... Number of compartments ..l ........... Total liquid capacity ............. _~e_-~._~..~-. ............... gallons. CaPacitY inlet comic%preent ................................... 7- gallons. Inside length, .............. f~et,~ Inside width, ............... feet. Liquid depth, __./_ .~__ ....... feet. Cesspool: ~1'~, ~ O' ~fe~ /I,e ~ ~ Distance from: Well, .............. feet; foundation, ............... feet; neares~ lot line,at ~ front, i[-1 side, [] rear, ............... feet. Inside diameter, ........... feet. Depth, .......... feet. Liquid capacity, ............ gallons. Lining material ......................... SECONDARY TREATMENT consists of [] Distribution box and [] Tile disposal field. '[] Seepage pits. Other ........................... Tile Disposal Field: Distance from: Well, ........... feet; foundation, ............. feet; nearest lot line at ,[] front, [] side, [] rear, ............... feet. Total length of tile lines, ..................... feet. Number el lines, ..................... Distance between lines, .................... feet. Total effective absorption area in bottom of trenches, ........................... square feet. Trench width, ..................... inches. Length of each line, ....................................... feet. Depth, top of tile to finish grade, ....................................... inches. Type of filter material: [] Gravel. [] Broken stone, i [] Cinders. Other ........................................................................ Depth of filter material beneath tile, .... A~.:._ .............. inches. Depth of filter material over tile, .............................. inches. Seepage Pits: Number of pits J__. Outside diameter, ~---~--.f- feet. Depth, __~.--~--.._ feet. Lining material ----~---~----~I- ............ ~ ............ Distance from: Well, .._' ........ feet; foundation .............. feet; nearest lot line at '~f~ront, [] side, [] ~ar ......... /__t~__ feet. If Existing Installation, give all the following additional information available: Distance to nearest: Public sewer,. ................ feet~Com~u i_~ sy~m~, ~ ........ feet. Approximate direction of surface drainage of lot, ._~.-)._~__-~--.---~b~ APproximate slope, ......... -~- ~-~ feet per 100 feet. Soil is: [] Loam. [] Sandy loam. [] Clay. :[] Sandy clay. [] Coarse s~nd or g.ravel. [] Hardpan. [] Rock. Other Number of bathrooms, _ ..... /.--. Is there a ba~e~ment? ~Yes. i[] No. Basement drains to ................................................ Fixtures in basement: [] Laundry tray. [] Toilet. [] Bathtub. ~] Shower, i[] None. ~] Floor drain. [] Sump pump. Laundry waste disposal: Direct to [] Seepage pit. Other .................. Through sump pit to: [] Septic tank. [] Seepage pits. Is footing drain provided? [] Yes. il'q No. Drains to: [] Surface. [] Dry well. [] Sump in basement. Other ..................... Downspouts or areaway drain to: ;[] Surface discharge. [] Dzy well. Other .................................................................. Depth of house sewer below finish grade at foundation, _ ............... feet. ................ s (Title) Part I-b.--See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the [] State ~[] County [] Local Department of Health that this system with proper maintenance: [] can be expected to function satisfactorily, and is [] cannot be expected to function satisfactorily. not likely to create an insanitary condition. Remarks: ............. : .......... ~.~F~_7.¥- ............. ~ ........... ........ ;._L ............................................................................. n ............... ( Signed ) ............................................................................ Date ......................................., 19 ....... (Title) Part III..~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: ' · ~' I have reviewed the foregolng and the pert~n.~n~' FHA Complianc~ Inspection Report, and recommend that the individual sewage-disposal system be considered [] ~cc~ptable~ ~1 ~0t ~acceptable. Remarks: ............................................................................................................................... ~ ......................... Date ....................................,19 ..... 2218--Individual Sewage-Disposal System (Signed) ......................................................................... [] Chief A~chitect. [] Deputy for Chief A~chiteot. Report of Inspection · Lre~op u.t oq.txogop '.~ao~o~[g.t~sun s! mo~[g_g~ oq~ ~q~ uo.m.tdo u~ u.~ ~in~o.t Xma qo!q~ puno~ ox, ~uo!~.tpuoo ,~I 'uo.t~maosu.~ ~uou.t~aod [~uomalddn~ Xu~ 'l~'-I ~.~2,I u! poq!.xosop ~llnj ~ou s~U~Ult ~uou!~.xod Xu** ~OlOq qo~o~IS Xq a~oqs--'ItD~DIS uo!~oodsuI jo ~odo~l tuoss.4:S l~SOd$!(I-oll~oS l~np!a~uI~SIgg FHA Form No. 2217 (Revised Dee. 1948) Budget Bureau No. 63 R~6.3. 6o'-oo~76~ ....... (Serial numbee) FEDERAL HOUSING ADMINISTRATION [] NewinstaUat~on. REPORT OF INSPECTION [~ Existing installation. INDIVIDUAL WATER-SUPPLY SYSTEM To Be Headed in by FHA Office .... AnohoT~age, ,4~.ae_k~ ............. Ne. tton~l B~ of Als,~, NE~, ~lph L. & Alma (Insuring office) (Mortgagee) (Mortgagol' or sponsor) Property address ~o~ ~ Bloak ~, ~trah~o~ Park, ' (City} (County) (State) Total number: Living units_ _~ ...... Bedrooms ..... ] .... Ba~hs.__~ ..... Basement: ~ Yes ~ No. Sewage disposal by: ~ Public se~er. ~ Community system. ~ Individual system on site. Part I-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. Distance to neares~ubllc water main, ............ feet. Size of main ............. inches. Individual wells [~re [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water ......................................... Lo~ size: .................. feet wid~ ............... feet deep. Dwelling set back from front proper~y line, .................. feet. Individual water supply from: ~'~rilled well. ~ Driven well. ~ Dug well. ~ Bored well. Distance of we1, ,,om: ~ ~ ~e Z 7 Building foundation, _.~_~_ ................. feet; n~ lot line at ~ front, ~ ~, ar ................................... feet, cast iron sewer, __]~ ...... feet; tile sewer .................. fee~; septic tank, ................. feet; disposal field, ................. feet; seepage pit, .................. feet; cesspool, .................. feet; other sources of possible pol]~ion, .................. feet. Diameter, ............. inches. Total depth, ............ feet. Type of casing, ........................... Depth of casing, ............ fee~. Approximate depth to pumping level of wa~er in well, ............ feet. Approximate yield, ............ gallons per minute. Sealed watertight to depth of ............ fee~. ~ Exterior space around casing sealed wi~ Cement grout. ~ Puddled clay. ~-Ordi~y backfill. Well cover: ~ Concret~ Wood. ~ ~etal. Openings in wellcover watertight: ~ Yes. ~ No. Pump: ~ Shallow~ll. ~'~eep well. Length of drop pipe, ............. feet. Pump capacity, ....... ~ .... gallons per minute. Located in: ~'~asement. ~ Pump room off basement. ~ Pump house above ground. ~ Pump pit. Pump room properl~ained: ~ Yes. ~ No. Pump mou~atertight: ~ Yes. ~ No. Type of storage: ~P~essure. ~ Gravity. Capacity, _ .......... ~llons. Has bacteriological examination of wa~er been made? ~ Yes. ~'Nd. If answer is "yes," give da~e ........................... , 19 ...... Quality of wat~ is [] is not satisfactory for human consumption. Installation [] does [] does not comply with a~oved exhibits, if any. Inspection made by: [] State, [] County. [] Eocal Health Authority. / ~)'~-.~ S,~ (Signed) Date of inspection .................................... 19 ...... (Title) Part I-b.--See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available~ information, it is the opinion of the [] State [] County [] Local Department of Health that this system [] is []is not sat~isfactory as a domestic water supply for the subject property. Remarks: ...................................................................................................................................................... (Signed) .............................................................................. Date: ................................. , 19 ...... (Title) TO ~HE CHIEF UNDERWRITER: Par~ III.--FOR 'USE oF F. H. A. OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual water- supply system be considered [] acceptable [] not acceptable. Remarks: ............................................................. ~ ................................ ~ ........................................................ Date ................................. , 19 ..... 2217~Individual Water-Supply System Report of Inspection ±33BIS ,601 £NOEI-I Mr. Virgil Reimer, Director Federal H~ming A~ministration P. O. Box 723 Anchorage, Alaska MMAForms 2217 and 2218 Serial No. 60-00~62 Charles R. &Rmth Leslie Anchorage, Alaska Dear Mr. Rei~erl Attached are F.H.A. 2217 end 2218 forms for the subject property. The s~steme do not cempletely comply with the mint ~mmm re~remants of the Alaska Department of Health sad Federal Housing A~i~istration. The non-compliances arm listed on the forms. As the non-compliances are all of a minor nature, we believe the systems can be expected to function satisfactorily and are net likely to create an insanitary condition pro- vidL~ proper maintenance is given the systems. If we maybe of any further service to you regardin~ this matter, please contact Very .truly yo~e, Amos J. Alter, Chief Section of Sanitation &E~gineeri~ Attachments - FHA Forms 2217 & 2218 cci C. Winey, Jr., A~Ch. Office~ Amos J. Alter, Chief, Secti~ of Sanitatic~ & Engineering Calvin Winsy, Jr., Rag. San. Engr. ~{A Forms 2217 & 2218, SERIAL NO. 60-004862, Charles R. & Ruth Leslie F~elosed please find the subJee% F~A fc~ms. The new septic tank system whieh replaced the existing septic tank system was inspected by Mr. Ted Bait of F~A for me w~ile I was out of town ~ a field trip. Upon m~ return to the o~iee~ Mr. Leslie showed me the receipts for the work. ~t is fast-mended that the water supply and sewage disposal systems be approved, oW/do